Vision Plan - Human Resources at Ohio State
Vision Plan
Access to vision care for you and your family reflects Ohio State’s commitment to offering high-quality, affordable health plans. The Faculty and Staff Vision Plan provides you and your covered dependents with vision care services, such as eye exams, eyeglasses and contact lenses. You can choose between Basic and Premier Plan options, both of which are in the Vision Service Plan Choice Network.
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Vision Plan Details
Effective Jan. 1 – Dec. 31, 2018
| Covered Services | Basic | Premier | Out-of-Network |
|---|---|---|---|
| In-Network Providers | Choice Network | ||
| Annual Deductible | $25 per person, applies to materials only (lenses and frames) | ||
| Vision Exam | 100% paid; no deductible | 100% paid; no deductible | Maximum of $45 paid; no deductible |
| Vision Exam Frequency | Every calendar year | Every calendar year | Every calendar year |
| Frames | Maximum of $155 paid, after annual deductible; 20% discount off any amount over $155
Maximum of $175 paid on featured frame brands1, after annual deductible; 20% discount off any amount over $175 |
Maximum of $200 paid, after annual deductible; 20% discount off any amount over $200
Maximum of $220 paid on featured frame brands1, after annual deductible; 20% discount off any amount over $220 |
Maximum of $70 paid, after annual deductible |
| Frames Frequency | Every other calendar year | Every calendar year | Basic: Every other calendar year Premier: Every calendar year |
| Lenses | 100% paid, after annual deductible, for:
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100% paid, after annual deductible, for:
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Maximum paid as indicated, after annual deductible, for:
|
| Lenses Frequency | Every calendar year | Every calendar year | Every calendar year |
| Or Contact Lenses3, 4 (includes disposables) |
Up to $60 copay for your contact lens exam (fitting and evaluation)
Maximum of $130 allowance paid toward contact lenses; no deductible |
Up to $60 copay for your contact lens exam (fitting and evaluation)
Maximum of $150 allowance paid toward contact lenses; no deductible |
Maximum of $105 paid; no deductible |
| Contact Lenses Frequency | Every calendar year | Every calendar year | Every calendar year |
| Easy Options Enhancements | You and each member on your plan may choose one of these enhanced eyewear options in lieu of one base option above:
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1 Visit vsp.com for more information on VSP’s featured frame brands, as the brands may change.
2 Blended (seamless) lenses are available at Vision Service Plan’s (VSP) preferred member pricing; however, the plan does not pay for any additional charges above the cost of lined lenses.
3 Contact lenses are in lieu of lenses only. Member can receive frame and contact lenses per eligible frequency.
4 Medically Necessary Contact Lenses are a Plan benefit when specific benefit criteria are satisfied and when prescribed by in-network or out-of-network provider. Prior review and approval by VSP are not required for a covered person to be eligible for Medically Necessary Contact Lenses.
The Faculty and Staff Vision Plan offers you a choice of network or non-network coverage when you seek vision services. You can perform a provider search by accessing VSP’s website.
If you use a VSP Choice network provider, no claim forms are necessary, simply tell them you are covered by VSP. Your vision provider should file claims directly with VSP, although you will be required to pay for your portion of the expenses at the time of service.
If you use a non-network provider the plan pays less for covered services than it does when you use a network provider. Your provider may require you to pay for services in full and be reimbursed from VSP by filing a claim.
The Premier Vision Plan includes EasyOptions, which allows you to personalize your coverage by choosing from a set of enhancements available for your glasses or contact lenses at the time you use your benefit.
On occasion, your vision care provider may identify a condition that is medical in nature. If this happens, the claim will be covered in part or totally by your medical insurance and all rules of your medical insurance will apply. In order to receive the maximum benefit, use a provider in your medical plan network.
DEP Plus covers certain services that relate to type 1 or type 2 diabetes. DEP Plus is intended to supplement your group medical plan. For services provided in connection with DEP Plus, providers will first submit a claim to your group medical plan, and then to VSP. Any amounts not paid by the medical plan will be considered for payment by VSP. If you do not have a group medical plan, providers will submit claims directly to VSP.
Vision Plan FAQ
Vision Service Plan (VSP) is The Ohio State University’s Vision Plan vendor. The VSP website offers members the opportunity to manage their vision plan benefit through a secure, online account. From this site, members may view vision benefit eligibility for the current plan year, locate network providers, and view their member history.
You can create your account at the VSP website. Click “Create an Account” and follow the on-screen prompts to complete your registration.
No, a vision card is not required for service. Tell your provider that you have the Vision Service Plan. Visit the VSP website to register for an account and log in. There you can print a “Member Reference Card” if you prefer to have one, but it’s not necessary when seeing a network provider.
The primary cardholder is responsible for managing the account for him/herself as well as for all covered dependents.
With the VSP Basic plan, frames are covered ever other calendar year; with the VSP Premier plan, frames are covered every year. There are also differences in the maximum allowance paid under the two plans for frames and contact lenses. EasyOptions is only available under the VSP Premier plan.
For additional information on plan differences and premium amounts, see the Vision Plan Benefit Summary.
This is intended to be an overview. Refer to the Plan Document for complete information. In the event the information on these pages differs from the Plan Document, the Plan Document will govern.
